Individual
MICHAEL DAWAYNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMTP
Contact information
Practice address
BLDG 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7409
Mailing address
BLDG 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7409
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M5030908
TX
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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